BRIAN GATES (NPI# 1275903684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275903684 |
| Entity Type | Individual |
| Full Name | BRIAN GATES |
| Credential | NP-C |
| Practice Address |
1190 N State St Suite 300 Jackson MS 39202-2413 |
| Practice Telephone | 6017090607 |
| Practice Fax Number | 6017092110 |
| Mailing Telephone | 6017090607 |
| Mailing Fax Number | 6017092110 |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2015-09-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
R878282 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043239593 | Brian Lee Gates | Podiatrist | 521 Logan Boulevard Lakemont, Altoona, PA 16602-5619 | 2006-07-18 |
| 1013999432 | Brian John Gates | Pharmacist | 3901 E Main Ave, Spokane, WA 99202-4736 | 2005-11-20 |
| 1235365248 | Brian M Gates | Emergency Medicine | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2009-06-04 |
| Street Address |
1190 N STATE ST SUITE 300 |
| City | JACKSON |
| State | MS |
| Zip Code | 39202-2413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881699775 | Richard L Blount | Ophthalmology | 1190 N State St, Ste 403, Jackson, MS 39202-2413 | 2005-06-16 |
| 1871086207 | Sarah Kelly Erwin | Dietitian, Registered | 1190 N State St, Jackson, MS 39202-2413 | 2018-06-11 |
| 1184081234 | Tammy Sims Davis | Physician Assistant | 1190 N State St, Suite 502, Jackson, MS 39202-2413 | 2016-01-20 |
| 1720453145 | Jarrod Bryant | Physical Therapist | 1190 N State St, Jackson, MS 39202-2413 | 2015-12-10 |
| 1750756201 | Mississippi Baptist Health Systems | Physical Therapist | 1190 N State St, Jackson, MS 39202-2413 | 2015-12-09 |
| 1164897807 | Benjamin Adcock | Physical Therapist | 1190 N State St, Jackson, MS 39202-2413 | 2015-12-07 |
| 1376940130 | Joel Christopher Boothe | Registered Nurse | 1190 N State St, Suite 301, Jackson, MS 39202-2413 | 2014-11-21 |
| 1134546294 | Tammy Bartholomew | Social Worker | 1190 N State St, Suite 301, Jackson, MS 39202-2413 | 2014-03-26 |
| 1366866154 | Courtney Wright | Physician Assistant | 1190 N State St, Suite 502, Jackson, MS 39202-2413 | 2014-02-13 |
| 1780028670 | R Deaver Collins Md Pa | Internal Medicine | 1190 N State St, Suite 302, Jackson, MS 39202-2413 | 2013-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234183 | Eva Mackenzie Carmody | Physician Assistant | 1190 N State St Suite 502, Jackson, MS 39202 | 2020-01-16 |
| 1750868691 | Katherine Walters | Nurse Practitioner | 501 Marshall St., Suite 400, Jackson, MS 39202 | 2018-07-24 |
| 1932638749 | Tylan Lee | Social Worker | 860 East River Place Suite 100, Jackson, MS 39202 | 2017-06-06 |
| 1417314725 | Euna Jyles | Counselor | 860 E River Pl, Jackson, MS 39202 | 2016-01-19 |
| 1255712048 | Edward Jonathan Breight | Specialist/Technologist | 1325 East Fortication Street, Jackson, MS 39202 | 2015-06-17 |
| 1881037703 | Kara Spinks Logan | Surgery | 1190 N State St Ste 502, Jackson, MS 39202 | 2013-04-10 |
| 1477876530 | Mick Inc. | Technician | 334 Josanna Street, Suite #209, Jackson, MS 39202 | 2010-03-03 |
| 1073724910 | Paul Frederic Dare | Anesthesiology | 1151 North State St., Suite 311, Jackson Anesthesia Associates, Jackson, MS 39202 | 2007-05-24 |
| 1225247703 | Lynn Kincannon Holland | Counselor | 911 Manship Street, Unit A, Jackson, MS 39202 | 2007-05-22 |
| 1457568149 | Incare Inc | Pulmonary Function Technologist | 1151 North State St, Suite 406, Jackson, MS 39202 | 2007-05-16 |
| Find all providers in zip 39202 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396202396 | Roxane Theresa Moncure | Nurse Practitioner | 919 Rutherford Dr, Jackson, MS 39206-2033 | 2019-02-26 |
| 1306350129 | Tamika M Broome | Nurse Practitioner | 350 W Woodrow Wilson Ave # 411, Jackson, MS 39213-7681 | 2017-12-01 |
| 1073840021 | Alanna Jillian Wright | Nurse Practitioner | 1815 Hospital Dr Ste 140b, Jackson, MS 39204-3425 | 2009-11-12 |
| 1578521852 | Vicki Helena Tyrrell | Nurse Practitioner | 400 Hinckley Blvd, Suite 300, Jackson, MI 49203-6125 | 2006-05-03 |
| 1346861440 | Charlie Murphy Gantt | Nurse Practitioner | 205 N East Ave, Jackson, MI 49201-1753 | 2020-04-29 |
| 1497396394 | Daniel Patrick Welch | Nurse Practitioner | 2969 Curran Dr N, Jackson, MS 39216-4121 | 2019-10-01 |
| 1891253811 | Felecia D Carter | Nurse Practitioner | 969 Lakeland Dr, Jackson, MS 39216-4606 | 2019-03-08 |
| 1871068098 | Branson Hal Smith | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4505 | 2018-10-04 |
| 1518457928 | Shemina Johnnice Ransom | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2018-05-11 |
| 1609389436 | April A Calvert | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2017-11-15 |
| Find all providers in JACKSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.